LUGPA

Online Registration

LUGPA
Regional Meetings
April 20 – April 21, 2018
JW Marriott Marquis Miami
Miami, Florida


Online registration will be available until Wednesday, April 11, 2018. After this date, onsite registration will be available.

Registration fees are subject to change. To lock in these rates, register now!
  • Please select the category that best describes your status:*
  • Specialty:*

How did you learn about this conference? (Check all that apply)

Industry Registration
Your submission will need to be approved prior to confirmation of your registration. Approval may be based on current Industry support. To find out if your company is currently supporting LUGPA, please contact JP Baunach in the Industry Relations Department at (847) 264-5942 or by email at jp@wjweiser.com.

Attendee Information*

  • First Name:*
  • Last Name:*
  • Degree(s):
  • Badge First Name:*
  • Title:*
  • Practice Name:*
  • Practice Address 1:*
  • Practice Address 2:
  • City:*
  • State:*
  • Zip Code:*
  • Phone:*
  • Fax:
  • Email:*

Meeting Registration*

  • Registration Categories
  • Fee
  • $0
  • $149
  • †Registration for member practices is complimentary. Travel expenses to the meeting are at your own expense.

  • TOTAL REGISTRATION FEE:

Payment Information (must be made in U.S. dollars)

  • Billing Address:*
  • ZIP:*
  • Card Type:*
  • Name on Card:*
  • Card Number:*
  • Expiration Date: (mmyy)*
  • Card Verification #:*
  • Enter Security Code: 2488

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